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f~  ?  JL,W*>fl  ,]  J  /O/ 


/ 


Morbidity  and  Mortality 


U.  S.  DEPARTMENT  OF  HEALTH,  EDUCATION,  AND  WELFARE 
PUBLIC  HEALTH  SERVICE 


N 


Prepared  by  the 


COMMUNICABLE  DISEASE  CENTER 


ATLANTA,   GEORGIA    30333 


PROVISIONAL    INFORMATION   ON   SELECTED    NOTIFIABLE    DISEASES    IN    THE    UNITED    STATES    AND   ON 
DEATHS    IN    SELECTED   CITIES   FOR    WEEK    ENDED  DECEMBER  19,  1964 

Venereal    Disease    Surveillance    Summary    -    195^-1963 


EPIDEMIOLOGIC  NOTES 


REPORTED  CASES  OF  TULAREMIA  BY  YEAR 
UNITED  STATES,      1948-1963 


Tularemia 


A  total  of  8  cases  of  tularemia  was  reported  for  the 
week  ended  December  19,  1964.  This  brings  the  cumula- 
tive total  to  320  thus  far  in  1964.  This  year,  as  in  pre- 
vious years,  the  Mountain,  South  and  North  Central  states 
have  reported  over  three-fourths  of  all  cases  although  all 
geographic  regions  have  recorded  some  cases. 

Although  there  has  been  a  decline  in  the  yearly 
incidence  of  this  disease  since  1949,  the  number  of  cases 
has  remained  essentially  stable  during  the  past  few  years, 
(see  graph  opposite) 

Seasonal  peaks  of  tularemia  are  associated  with 
hunting  and  outdoor  recreation  periods  and  with  high  deer 
fly  and  tick  populations. 

Table   1 


'48  '49  50  51    '52  '53  '54  '55  '56  57  '58  '59  '60  '61     '62  '63 
YEAR 


SOURCE'    NATIONAL  MORBIDITY  REPORTS 

CASES  OF  SPECIFIED  NOTIFIABLE  DISEASES:     UNITED  STATES 


(Cumulative  totals  include  revised  and  delayed  reports  through  previous  weeks) 


51st  Week  Ended 


December  19, 
1964 


December  21, 
1963 


Med  ian 
1959  -  1963 


Cumulative,  First  51   Weeks 


1964 


1963 


Median 
1959  -  1963 


Aseptic  meningitis  

Brucellosis  

Diphtheria  

Encephalitis,  primary  infectiou 
Encephalitis,  post-infectious.. 

Hepatitis,  infectious  including 

serum  hepatitis  

Meas les  

Meningococcal  infections  

Poliomyelitis,  Total 

Paralytic  

Nonparalytic  

Unspecified  

Streptococcal  Sore  Throat  and 

Scarlet  fever  

Tetanus  

Tularemia  

Typhoid  fever  

Rabies  in  Animals  


39 
4 
2 

49 
8 


742 

3,251 

78 


10,417 


8 
11 


102 


25 
28 
12 

"1-20 


664 

3,511 

50 

7 

6 

1 


6,985 

5 

10 

2 

42 


4 

12 


898 

4,050 

39 

19 

16 


7 
42 


2,115 
387 
280 

3,163 
771 


37 , 108 

485,017* 

2,751* 

117 

90 

15 

12 


387,774 
266 
320 
446 

4,455 


J 


1,796 
375 
294 

1,515 


42,049 

384,305 

2,303 

436 

372 

46 

18 


332,652 
275 
287 
522 

3,650 


566 
569 


42,049 

417,569 

2,151 

1,334 

869 


805 
3,507 


Table  2.     NOTIFIABLE   DISEASES  OF  LOW   FREQUENCY 


Cum. 

Psittacosis:   Ark. 

■  1,  Minn.  - 

1 

Cum. 

Anthrax: 

5 

47 

Botulism:    Kans.  -  7 

22 

Rabies  in  Man: 

1 

Leptospirosis:   Tenn.  -  1, 

La.  - 

1,  Hawaii-  1 

107 

Smallpox: 

. 

Malaria:   Ga.  -  1,  Calif. 

-  1 

96 

Typhus- 

Plague: 

. 

Murine: 

25 

Rky  Mt.  Spotted: 

Penn.  -  1, 

Kans.  -  1 

224 

*  Includes  delayed  reports  from  Texas 


446 


Morbidity    and    Mortality   Weekly   Report 


Venereal    Disease    Surveillance     Summary    —    195^,-1963 


During  the  past  decade,  the  reported  incidence  of  the 
principal  venereal  diseases  has  changed  markedly  with 
each  of  the  diseases  exhibiting  quite  different  charac- 
teristics. In  contrast  to  a  reported  threefold  increase  in 
cases  of  primary  and  secondary  syphilis,  the  incidence  of 
both  chancroid  and  granuloma  inguinale  exhibited  a  com- 
parable, proportionate  decline.  Gonorrhea  cases  in  civil- 
ians have  increased  only  slightly. 


Infectious  Syphilis 

Reported  cases  of  infectious  syphilis  (primary  and 
secondary  syphilis)  increased  less  sharply  during  1962 
and  1963  than  in  the  preceding  3  years  (see  table  and 
graph).  The  22,251  cases  reported  in  1963  represents  the 
highest  incidence  since  1950  although  only  a  relatively 
slight  increase  over  the  21,067  cases  reported  in  1962. 
However,  although  an  increasing  incidence  of  syphilis 
has  been  recorded  both  in  the  United  States  and  elsewhere 
in  the  world,  changes  during  recent  years  in  reporting  and 
investigative  practices  have  undoubtedly  served  to  magnify 
the  increase  in  incidence. 

Forty-four  percent  of  the  infectious  syphilis  cases 
reported  in  1963  were  among  persons  less  than  25  years 
of  age  and  15  percent  of  the  cases  were  among  persons 
under  20. 

Since  1955,  reported  cases  of  early  latent  syphilis 
have  remained  relatively  constant  varying  between  16,000 
and  19,000  cases  per  year.  Late  and  late  latent  syphilis 
cases  have  decreased  almost  every  year  since  1943  when 
more  than  a  quarter  of  a  million  were  reported.  In  1963, 
only  78,076  cases  were  recorded.  This  continuing  decline 
reflects  the  decline  in  the  reservoir  of  old  untreated  cases. 

Of  the  4,031  cases  of  congenital  syphilis  reported 
during  1963,  only  a  small  proportion  were  among  infants 
less  than  one  year  old;  most,  in  fact,  are  cases  in  adults 
born  with  syphilis  years  ago. 


Gonorrhea 

Gonorrhea  cases  have  increased  steadily  each  year 
since  1957  except  for  1962  when  there  was  a  slight  fall- 
off  in  reported  cases.  The  278,289  cases  reported  in  1963 
was  the  largest  number  recorded  since  1950.  The  highest 
rate  is  found  in  the  age  group  20-24  years.  Recent  esti- 
mates indicate  that  private  physicians  are  reporting 
approximately  11  percent  of  the  gonorrhea  actually  treated. 


Lymphogranuloma  Venereum 

The  number  of  reported  cases  declined  steadily  from 
1944  through  1958.  The  rise  in  cases  observed  since  1959 


23,000 

22,000 

21,000 

20,000 

19,000 

18,000 

17,000 

16,000 

15,000 

14,000 

13,000 

12,000 

11,000 

10,000 

9,000 

8,000 

7,000 

6,000 

5,000 

4,000 

3,000 

2,000 

1,000 

0 


/ 


REPORTED  CIVILIAN  CASES 

OF  CONGENITAL  AND 

PRIMARY-SECONDARY  SYPHILIS 

UNITED  STATES, 

1954-1963 


Congenital  Syphilis 


YEAR 
Source  Venereal  Di6eose  Branch,  Communicable  Diseose  Center 


REPORTED  CIVILIAN  CASES  OF  GONORRHEA 
UNITED  STATES,  1954-1963 


250,000  - 


O       150,000 


50,000  - 


'54  '  '55  '  '56  '  57  '  '58  '  '59  "60  "61  '  '62  '  '63  '  '64  '  '65  ' 
YEAR 

Source:  Venereal  Disease  Branch,  Communicable  Disease  Center 


Morbidity    and   Mortality    Weekly    Report 


447 


is  due  primarily  to  increased  reports  from  the  District  of 
Columbia.  Beginning  in  I960,  one  large  clinic  there  has 
instituted  the  routine  use  of  the  Frei  complement  fixation 
test  in  the  differential  diagnosis  of  patients  with  peri- 
rectal abscesses  and/or  fistulae-in-ano  and  this  has 
accounted  for  much  of  the  increase. 


Granuloma  Inguinale 

A  total  of  173  civilian  cases  of  granuloma  inguinale 
was  reported  in  the  United  States  for  the  calendar  year 
1963-  Reported  cases  of  granuloma  inguinale  rose  rapidly 
during    World    War    II    and    the    following    several  years; 


thereafter    reported    cases    declined    sharply.    The   graph 
depicts    the   continuous   decline   during   the    past  decade. 

Chancroid 

A  total  of  1,220  cases  of  chancroid  was  reported  for 
1963-  After  a  peak  shortly  after  World  War  II,  the  number 
of  reported  cases  declined  sharply  in  the  ensuing  years. 
Since  1957,  the  decline  has  been  more  gradual. 


REPORTED   CIVILIAN    CASES  OF  CHANCROID 
UNITED  STATES,  1954-1963 


REPORTED  CIVILIAN  CASES  OF  GRANULOMA  INGUINALE 
AND   LYMPHOGRANULOMA  VENEREUM 

UNITED  STATES,  1954-1963 


1000, 

900- 

800 

700- 

600- 

500 

400- 

300- 

200 

100 


0- 


Lymphogranuloma   Venereum 


Granuloma  Inguinale 


YEAR 
Source^  Venereal  Disease  Branch,  Communicable  Disease  Center 


3        2000 


YEAR 
Source'  Venereal  Disease  Branch,  Communicable  Disease  Center 


REPORTED  VENEREAL  DISEASE  CASES12  AND  RATES  PER  100,0003 
BY  CALENDAR  YEAR  -  UNITED  STATES,  1954-63 


Syphilis 

Ly 

-nph 

Calendar 

Primal 

y  and 

Ea 

ly 

Late  8,  Late 

All  stages4 

Granuloma 

Gram 

loma 

year 

Secor 

dary 

Latent 

Latent 

Congenital 

of  Syphilis 

Gonorrhea 

Chancroid 

Ingu 

nale 

Venereum 

Cases 

Rates 

Cases 

Rates 

Cases 

Rates 

Cases 

Rates 

Cases 

Rates 

Cases 

Rates 

Cases 

Rates 

Cases 

Rates 

Cases 

Rates 

1954 

7,147 

4.5 

23,861 

15.1 

89,123 

56.5 

6,676 

4.2 

130,697 

82.9 

242,050 

153.5 

3,003 

1.9 

618 

.4 

875 

.6 

1955 

6,454 

4.0 

20,054 

12.5 

86,526 

53.8 

5,354 

3.3 

122,392 

76.2 

236,197 

147.0 

2,649 

1.7 

498 

.3 

762 

.5 

1956 

6,395 

3.9 

19,813 

12.0 

95,168 

57.6 

5,498 

3.3 

130,314 

78.9 

224,683 

136.0 

2,138 

1.3 

357 

.2 

500 

.3 

1957 

6,581 

3.9 

17,818 

10.6 

91,378 

54.3 

5,321 

3.2 

123,888 

73.6 

214,872 

127.6 

1,637 

1.0 

348 

.2 

448 

.3 

1958 

7,184 

4.2 

16,569 

9.7 

83,129 

48.5 

4,901 

2.9 

114,053 

66.5 

232,818 

135.8 

1,603 

.9 

314 

.2 

435 

.3 

1959 

9  799 

5.6 

17,025 

9.8 

86,740 

49.7 

5,130 

2.9 

120,824 

69.2 

240,254 

137.6 

1,537 

.9 

265 

.2 

604 

.3 

1960 

16,145 

9.1 

18,017 

10.1 

81,798 

45.9 

4,416 

2.5 

122,538 

68.8 

258,933 

145.3 

1,680 

.9 

296 

.2 

835 

.5 

1961 

19,851 

11.0 

19,486 

10.8 

79,304 

43.8 

4,163 

2.3 

124,658 

68.8 

264,158 

145.8 

1,438 

.8 

241 

.1 

787 

.4 

1962 

21,067 

11.5 

19,585 

10.7 

79,533 

43.3 

4,070 

2.2 

126,245 

68.7 

263,714 

143.5 

1,344 

.7 

207 

.1 

590 

.3 

1963 

22,251 

11.9 

18,235 

9.8 

78,076 

41.9 

4,031 

2.2 

124,137 

66.5 

278,289 

149.2 

1,220 

.7 

173 

.1 

586 

.3 

1  Alaska  ond  Hawaii   included  after   1955 


Civilian  cases  only.  Known  military  cases  excluded. 


Civilian  population  only. 
^Includes   *'stage  not  stated. 


448 


Morbidity   and  Mortality  Weekly  Report 


Table   3.     CASES  OF  SPECIFIED  NOTIFIABLE   DISEASES:      UNITED  STATES 

FOR    WEEKS   ENDED 
DECEMBER  19,  1964  AND  DECEMBER  21,  1963  (51st  WEEK) 


Aseptic 
Meningitis 


1964 


1963 


Encephalitis 


Primary  Post-Inf 


1964 


1964 


Poliomyelitis,  Total  Cases 


1963 


Cumulative 


1964 


1963 


Poliomyelitis,  Paralytic 


1963 


Cumulative 


1964 


UNITED  STATES . . 

NEW  ENGLAND 

Maine 

New  Hampshire 

Vermont 

Massachusetts 

Rhode  Island 

Connecticut 

MIDDLE  ATLANTIC 

New  York  City 

New  York,  Up-State 

New  Jersey 

Pennsylvania 

EAST  NORTH  CENTRAL.. 

Ohio 

Indiana 

Illinois 

Michigan 

Wisconsin 

WEST  NORTH  CENTRAL.. 

Minnesota 

Iowa 

Missouri 

North  Dakota 

South  Dakota 

Nebraska 

Kansas 

SOUTH  ATLANTIC 

Delaware 

Maryland 

Dist.  of  Columbia. 

Virginia 

West  Virginia 

North  Carolina.... 
South  Carolina.... 

Georgia 

Florida 

EAST  SOUTH  CENTRAL.. 

Kentucky 

Tennessee 

Alabama 

Mississippi 

WEST  SOUTH  CENTRAL. . 

Arkansas 

Louisiana 

Oklahoma 

Texas 

MOUNTAIN 

Montana 

Idaho 

Wyoming 

Colorado 

New  Mexico 

Arizona 

Utah 

Nevada 

PACIFIC 

Washington 

Oregon 

California 

Alaska 

Hawaii 

Puerto  Rico 


39 


25 


117 


436 


15 

123 

2 

1 

10 

11 

3 

4 

- 

107 

24 

58 

3 

8 

9 

4 

6 

17 

3 

20 

3 

9 

10 

8 

3 

4 

1 

- 

4 

1 

1 

1 

- 

1 

- 

1 

1 

- 

35 

105 

- 

1 

1 

1 

- 

1 

4 

21 

1 

4 

12 

6 

3 

9 

3 

22 

11 

40 

74 

12 

53 

9 

28 
4 

14 
1 
9 


23 
2 
2 

19 


90 


28 


- 

4 

- 

1 

1 

7 

1 

3 

- 

3 

1 

9 

1 

5 

1 

2 

- 

2 

- 

1 

Morbidity   and  Mortality  Weekly   Report 


449 


Table  3.     CASES   OF  SPECIFIED   NOTIFIABLE   DISEASES:     UNITED  STATES 

FOR   WEEKS   ENDED 
DECEMBER   19,  1964  AND  DECEMBER  21,  1963   (51st  WEEK)  -  Continued 


Bruce 

llosis 

Dlpht 

leria 

inc 

Infectious  Hepatitis 
Luding  Serum  Hepatitis 

Typhoi 

d  Fever 

Area 

1964 

Cum. 

1964 

Cum. 

Total 

Under 
20  years 

20  years 
and  over 

Age 

Unknown 

Cumulative 

1964 

Cum. 

1964 

1964 

1964 

1964 

1964 

1964 

1964 

1963 

1964 

UNITED  STATES.. . 
NEW  ENGLAND 

4 

1 
1 

387 
2 

2 

9 
5 

4 

51 
5 
1 

30 
6 
9 

166 

9 

105 

10 

2 

21 

13 

6 

40 

17 
1 
4 

14 
4 

18 
6 
5 
4 
3 

47 
6 
5 
9 

27 

30 

1 
2 

26 
1 

24 

2 
22 

2 

1 

1 

1 
1 

280 

44 
39 

5 

10 
5 

2 
3 

11 

1 
9 
1 

36 

18 

1 
2 
3 
5 
7 

77 

1 

2 

7 

32 

35 

31 

2 

24 
5 

41 
3 

12 
1 

25 

2 

1 
1 

28 
13 

15 

742 

75 
17 
5 
6 
18 
11 
18 

145 
19 
72 
25 
29 

129 
39 

9 
23 
53 

5 

77 
3 

49 
9 

10 
6 

54 
2 

12 
1 

15 
8 
8 
1 

7 

45 
6 

22 
6 

11 

45 
3 
8 

34 

49 

29 

9 
4 
5 
2 

123 

14 

6 

79 

23 

1 

347 

42 
11 
2 
2 
11 
8 
8 

73 
6 
34 
14 
19 

77 
20 

6 
12 
37 

2 

34 
1 

21 
7 

2 
3 

30 
1 

4 

9 
6 

7 
1 

2 

23 
2 

14 
4 
3 

26 
1 
6 

19 

5 

4 

1 

37 
10 

1 
22 

4 

308 

25 
6 
3 
1 
5 
2 
8 

72 
13 
38 

11 
10 

46 

15 

3 

11 

16 
1 

37 
1 

28 
2 

3 
3 

23 
1 
8 
1 
5 
2 
1 

5 

22 
4 
8 
2 
8 

18 
2 
2 

14 

65 
4 
3 

57 

1 

87 
8 

3 
2 
1 

2 

6 

4 

2 

6 
1 

5 

1 

1 

1 

1 
44 
29 

9 

5 

1 

21 

2 

19 

37,108 

3,301 
1,013 
261 
381 
759 
228 
659 

8,055 
1,280 
3,491 
1,320 
1,964 

5,982 
1,571 

495 
1,141 
2,369 

406 

2,073 
229 
408 
505 

64 
135 

84 
648 

3,431 
78 
632 
70 
558 
490 
554 
153 
112 
784 

2,512 
872 
895 
485 
260 

2,905 
292 
683 
132 

1,798 

2,287 
190 
345 

93 
597 
328 
492 
191 

51 

6,562 
661 
650 

4,815 
313 
123 

42,049 

4,883 
2,217 
607 
151 
1,184 
122 
602 

8,353 
1,312 
3,606 
1,217 
2,218 

6,696 

1,840 

620 

1,368 

2,565 
303 

1,887 
286 
332 
610 
111 
144 
132 
272 

4,230 
81 
534 
108 
822 
667 

1,065 
169 
177 
607 

3,764 

1,137 

1,446 

594 

587 

2,852 
311 
588 
122 

1,831 

2,650 
334 
442 
43 
545 
330 
605 
332 
19 

6,734 
1,089 

788 
4,599 

212 
46 

11 

1 
1 

2 
2 

2 

1 
1 

2 
2 

1 
1 

1 

1 

2 
2 

446 
17 

- 

- 

New  York,  Up-State. 

8 
6 
3 

68 

34 

15 

2 

EAST  NORTH  CENTRAL... 

17 

85 
23 

22 

23 

11 

6 

WEST  NORTH  CENTRAL... 

34 
3 

4 

17 

2 

1 
3 

4 

SOUTH  ATLANTIC 

100 

8 

Dist.  of  Columbia.. 

11 

21 
13 
28 

19 

EAST  SOUTH  CENTRAL... 

45 
10 

21 

8 

WEST  SOUTH  CENTRAL... 

6 

44 
16 

6 

9 

Texas 

13 

MOUNTAIN 

14 

_ 

1 

5 
8 

Utah 

. 

PACIFIC 

39 

2 

37 

_ 

Puerto  Rico 

- 

- 

- 

13 

20 

19 

1 

- 

977 

906 

- 

13 

450 


Morbidity  and  Mortality  Weekly  Report 


Table   3.     CASES  OF  SPECIFIED   NOTIFIABLE   DISEASES:     UNITED  STATES 

FOR   WEEKS  ENDED 
DECEMBER  19,  AND  DECEMBER  21,  1963  (51st  WEEK)  -  Continued 


Measles 


1964 


Meningococcal 
Meningitis 


1964 


Cumulative 


1964 


1963 


Streptococcal 

Sore  Throat  and 

Scarlet  Fever 


1964 


1963 


1964 


1964 


1964 


1964 


Rabies  in 
Animals 


1964 


1964 


UNITED  STATES.. 

NEW  ENGLAND 

Maine 

New  Hampshire 

Vermont 

Massachusetts 

Rhode  Island 

Connecticut 

MIDDLE  ATLANTIC 

New  York  City 

New  York,  Up-State 

New  Jersey 

Pennsylvania 

EAST  NORTH  CENTRAL.. 

Ohio 

Indiana. . , 

Illinois 

Michigan 

Wisconsin 

WEST  NORTH  CENTRAL. . 

Minnesota 

Iowa 

Missouri 

North  Dakota 

South  Dakota 

Nebraska 

Kansas 

SOUTH  ATLANTIC 

Delaware 

Maryland 

Dist.  of  Columbia. 

Virginia 

West  Virginia 

North  Carolina.... 
South  Carolina.... 

Georgia 

Florida 

EAST  SOUTH  CENTRAL.. 

Kentucky 

Tennessee 

Alabama 

Mississippi 

WEST  SOUTH  CENTRAL.. 

Arkansas 

Louisiana 

Oklahoma 

Texas 

MOUNTAIN 

Montana 

Idaho 

Wyoming 

Colorado 

New  Mexico 

Arizona 

Utah 

Nevada 

PACIFIC 

Washington 

Oregon 

California 

Alaska 

Hawa  ii 


3,251 

704 

131 

45 

5 

376 

90 

57 

154 
25 
24 
15 
90 

609 
151 
40 
1 
245 
172 

266 
1 

130 
34 
98 

3 

NN 

314 

1 

8 

1 

58 

206 
4 
1 

35 

145 

7 

96 

30 

12 

198 
1 
1 

196 

257 

96 
11 
31 
21 
6 
92 


604 
362 

53 

128 

7 

54 


78 


3 

2 
1 

12 
3 
4 
3 
1 
1 


4 
1 

19 

19 


2,751 

96 

9 

2 

4 

40 

11 

30 

349 

48 

106 

109 

86 

366 
96 
59 
99 
79 
33 

158 

33 

9 

75 

20 

3 

7 

11 

529 
7 
43 
17 
64 
35 
95 
59 
87 

122 

204 
66 
66 
45 
27 

309 
34 

133 
16 

126 

103 

1 

5 

5 

22 

43 


11 

637 
48 
27 

542 

7 

13 


2,303 

133 
19 
4 
6 
59 
13 
32 

329 
49 

104 
53 

123 

353 
99 
47 
72 

100 
35 

141 
28 
7 
41 
17 
7 
25 
16 

422 
4 
58 
8 
90 
23 
82 
24 
34 
99 

156 
34 
71 
28 
23 

212 
14 
86 
36 
76 

85 
4 
6 
7 

25 
5 

13 

20 
5 

472 
40 
35 

366 

17 
14 


10,417 

564 

26 

2 

57 

33 

446 

378 
26 

247 
49 
56 

2,807 

78 

139 

132 

227 

2,231 

402 

6 

119 

76 

138 

9 

54 

878 
22 

176 
9 

230 

313 

14 

8 

23 

83 

1,378 

134 

1,055 

99 

90 

698 

6 

1 
691 

1,696 

225 
115 
587 
364 
137 
268 


1,616 

268 

18 

1,162 

23 

145 


6,985 

583 

73 

3 

49 

90 

48 

320 

261 
23 

123 
37 
78 

615 

67 

71 

97 

207 

173 

157 
14 
45 
9 
71 
15 


799 

2 

43 

4 

288 

219 

25 

39 

7 

172 

1,290 
11 

1,207 
10 
62 

595 

8 

7 

24 

556 

1,611 

74 

45 

116 

583 

477 

174 

138 

4 

1,074 

185 

21 

778 

58 

32 


266 
9 


23 


51 
14 
15 
14 
7 
1 

18 
5 
6 
4 

1 

2 

65 

4 
1 
8 
1 

16 
5 
5 

25 

35 
8 

14 
8 
5 

30 
8 
4 
1 

17 


29 
3 
1 

23 


320 

1 


27 
3 
2 

16 
2 
4 

59 
2 
1 

32 

15 

9 

31 


- 

15 

- 

1 

1 

34 

- 

4 

1 

22 

- 

3 

- 

5 

1 

108 

- 

66 

- 

6 

- 

20 

1 

16 

3 

56 

- 

19 

12 


1 
24 


102 


10 


40 
1 


15 
1 
6 
1 
7 


4,455 

38 

29 

2 

6 

1 


124 


115 


10 

607 

2 

309 

2 

33 

1 

115 

1 

58 

4 

92 

17 

1,310 

12 

425 

3 

455 

- 

190 

1 

72 

1 

95 

- 

36 

- 

37 

600 


325 

38 

5 

2 

120 

107 

678 

63 

531 

21 
63 

634 

148 

82 

98 

306 

143 

1 


8 
52 
68 

3 
11 

321 

11 
310 


Puerto  Rico 


58 


35 


10 


8 


66 


Morbidity    and    Mortality   Weekly    Report 


451 


Tabic   4   (C).     TOTAL  DEATHS   INDER    1   YEAR  OF  AGE   IN   REPORTING   CITIES 


(Tables  4(A),  4(B),  4(C),  and  4(D)  will  be  published  in  sequence  covering  a  four-week  period. )c 


For  weeks  ending 


11/28    12/5 


12/12 


12/19 


For  weeks  ending 


11/28 


12/5    12/12   12/19 


NEW  ENGLAND: 

Boston,  Mass 

Bridgeport,  Conn.. 
Cambridge,  Mass... 
Fall  River,  Mass.. 
Hartford,  Conn.... 

Lowell,  Mass 

Lynn,  Mass 

New  Bedford,  Mass. 
New  Haven,  Conn... 
Providence,  R.I... 
Somerville,  Mass.. 
Springfield,  Mass. 
Waterbury,  Conn. . . 
Worcester,  Mass... 

MIDDLE  ATLANTIC: 

Albany,  N.Y 

Allentown,  Pa 

Buffalo,  N.Y 

Camden,  N.J 

Elizabeth,  N.J 

Erie,  Pa 

Jersey  City,  N.J.. 

Newark,  N.J 

New  York  City,  N.Y 

Paterson,  N.J 

Philadelphia,  Pa.. 
Pittsburgh,  Pa.... 

Reading,  Pa 

Rochester,  N.Y.... 
Schenectady,  N.Y. . 

Scranton,  Pa 

Syracuse,  N.Y 

Trenton,  N.J 

Utica,  N.Y 

Yonkers,  N.Y 

EAST  NORTH  CENTRAL: 

Akron,  Ohio 

Canton,  Ohio 

Chicago,  111 

Cincinnati,  Ohio.. 
Cleveland,  Ohio... 
Columbus,  Ohio.... 

Dayton,  Ohio 

Detroit,  Mich 

Evansville,  Ind... 

Flint,  Mich 

Fort  Wayne,  Ind... 

Gary,  Ind 

Grand  Rapids,  Mich 
Indianapolis,  Ind. 

Madison,   Wis 

Milwaukee,  Wis.... 

Peoria,  111 

Rockford,  111 

South  Bend,  Ind. . . 

Toledo,  Ohio 

Youngstown,  Ohio. . 

WEST  NORTH  CENTRAL: 
Des  Moines,  Iowa.. 

Duluth,  Minn 

Kansas  City,  Kans. 
Kansas  City,  Mo. . . 

Lincoln,  Nebr 

Minneapolis,  Minn. 

Omaha,  Nebr , 

St.  Louis,  Mo 

St.  Paul,  Minn 

Wichita,  Kans , 


13 
6 

1 
2 

5 

1 

2 

12 

6 


2 

1 

3 

1 

1 

- 

2 

3 

3 

2 

7 

11 

3 

2 

- 

1 

4 

2 

5 

2 

7 

12 

63 

81 

3 

8 

23 

17 

3 

13 

2 

1 

5 

9 

1 

- 

2 

2 

52 

4 

15 

7 

3 

12 

1 

3 

3 

5 

1 

13 

1 

9 

2 

6 
7 
1 


5 
1 
3 
5 
3 
9 
6 
22 
2 
5 


12 


3 
2 
8 
2 
1 
2 
1 
7 
105 
7 

34 
9 
1 

12 

4 
3 

1 
1 


6 

1 
43 

9 

7 

7 
12 
28 

2 

1 

7 

5 

11* 
3 
9 
4 
2 

2* 
4 
1 


5* 

7 

2 

8 

4 

24 

7 

4 


SOUTH  ATLANTIC: 

Atlanta,  Ga 

Baltimore,  Md 

Charlotte,  N.C 

Jacksonville,  Fla 

Miami,  Fla, 

Norfolk,  Va 

Richmond,  Va 

Savannah,  Ga 

St.  Petersburg,  Fla... 

Tampa,  Fla 

Washington,  D.C 

Wilmington,  Del 

EAST  SOUTH  CENTRAL: 

Birmingham,  Ala 

Chattanooga,  Tenn 

Knoxville,  Tenn 

Louisville,  Ky 

Memphis ,  Tenn 

Mobile,  Ala 

Montgomery,  Ala 

Nashville,  Tenn 

WEST  SOUTH  CENTRAL: 

Austin,  Tex 

Baton  Rouge,  La 

Corpus  Christi,  Tex... 

Dallas,  Tex 

El  Paso,  Tex 

Fort  Worth,  Tex 

Houston,  Tex 

Little  Rock,  Ark 

New  Orleans,  La 

Oklahoma  City,  Okla... 

San  Antonio,  Tex 

Shreveport,  La 

Tulsa,  Okla 

MOUNTAIN: 

Albuquerque,  N.  Mex. . . 
Colorado  Springs,  Colo 

Denver,  Colo 

Ogden,  Utah 

Phoenix,  Ariz 

Pueblo,  Colo 

Salt  Lake  City.  Utah.. 
Tucson,  Ariz 

PACIFIC: 

Berkeley,  Calif 

Fresno,  Calif 

Glendale,  Calif 

Honolulu,  Hawaii 

Long  Beach,  Calif 

Los  Angeles,  Calif.... 

Oakland,  Calif 

Pasadena,  Calif 

Portland,  Oreg 

Sacramento,  Calif 

San  Diego,  Calif 

San  Francisco,  Calif.. 

San  Jose,  Calif 

Seattle,  Wash 

Spokane,  Wash 

Tacoma,  Wash 


10 

27 
5 
2 
8 
7 

16 
2 
1 
2 

17 
4 


12 

1 
1 
11 
5 
5 
2 
7 


2 

4 

4 

15 

10 

10 

27 

2 

17 

6 

7 

2 


5 

2 
11 

1 
10 

1 


1 
2 
2 
5 
3 
27 
8 

7 
4 
4 
7 
2 
5 
3 


*Estimate  -  based  on  average  percent  of  divisional  total. 
Totals  for  previous  weeks  include  reported  corrections. 

NOTE:  All  deaths  by  place  of  occurrence. 


"Current  Week  Mortality  for  108  Selected  Cities 

4(A)  Total  Mortality,  all  ages 11,949 

4(B)  Pneumonia- Influenza  Deaths,  all  ages 520 

4(C)  Total  Deaths  under  1  Year  of  Age 782 

4(D)  Total  Deaths,  Persons  65  years  and  over 6,701 


3  1262  08864  2680 


452 


Morbidity    and    Mortality   Weekly    Report 


INFANT  DEATHS  IN  108  CITIES 

The  weekly  average  number  of  infant  deaths  in  108 
cities  for  the  four-week  period  ending  December  19  was 
748  as   compared  with  an  expected  752  weekly  average. 


Week  Ending 


_     4-Week  Weekly 
11/28       12/5       12/12       12/19       Total       Average 


"VIV.  OF  FL  LIB 
.    ui  ..UIvlFNTS  nFPT 


U.S  DEPOSITORY 


Observed 

656 

770 

785 

782 

Expected 

752 

752 

752 

751 

2,993      748 
3,007      752 


Excess       —96 


18 


33 


31 


-14       -4 


DEATHS  UNDER  ONE  YEAR  OF  AGE  IN  108  U.S.  CITIES 

A*»njQ*   Number   p«r   Weak   by   Four-Wm»k   P*rtott% 


900 
NUMBER 

OF      830 
DEATHS 


Recorded 

"txpected  "              —. 

S                  Number  **•* 

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[                1961                                    1962                                  19 

)3                                      1961 

(See  table  page  1^51) 


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D  MORTALITY  WEEKLY  REPORT,  WITH  A  CIRCULA- 
TION OF  12,000  IS  PUBLISHED  BY  THE  COMMUNICABLE  DISEASE 
CENTER,    ATLANTA,    GEORGIA    30333. 


THE     MOR  BID1T  Y 
TION        OF       12,000 


CHIEF,    COMMUNICABLE    DISEASE    CENTER 
CHIEF,     EPIDEMIOLOGY    BRANCH 
CHIEF.    STATISTICS   SECTION 
ASST.    CHIEF,    STATISTICS   SECTION 
CHIEF.    SURVEILLANCE   SECTION 
ASSISTANT    EDITOR.  MMWR 


JAMES    L.    GODDARD,    M.D. 
A.    D.    LANGMUIR.    M.D. 
R.    E.   SERFLING.    PH.D. 
I.   L.    SHERMAN.    M.S. 
D.    A.    HENDERSON.    M.D. 
PAUL    D.    STOLLEY.   M.D. 


IN  ADDITION  TO  THE  ESTABLISHED  PROCEDURES  FOR  REPORTING 
MORBIDITY  AND  MORTALITY,  THE  COMMUNICABLE  DISEASE  CENTER 
WELCOMES  ACCOUNTS  OF  INTERESTING  OUTBREAKS  OR  CASES,  SUCH 
ACCOUNTS    SHOULD    BE    ADDRESSED    TO: 

THE    EDI  TOR 
MORBIDITY    AND  MORTALITY    WEEKLY    REPORT 
COMMUNICABLE    DISEASE    CENTER 
ATLANTA.    GEORGIA    30333 

NOTES:  THESE  PROVISIONAL  DATA  ARE  BASED  ON  WEEKLY  TELE- 
GRAMS TO  THE  COMMUNICABLE  DISEASE  CENTER  BY  THE  INDIVIDUAL 
STATE    HEALTH    DEPARTMENTS. 

SYMBOLS: DATA    NOT    AVAILABLE 

-     QU  AN  TIT  Y    ZERO 
PROCEDURES     FOR     CONSTRUCTION     OF     VARIOUS    MORTALITY      CURVES 
MAY         BE       OBTAINED        FROM       STATISTICS       SECTION.       COMMUNICABLE 
DISEASE      CENTER,     PUBLIC     HEALTH     SERVICE.     U.S.     DEPARTMENT     OF 
HEALTH.        EDUCATION.       AND       WELFARE,      ATLANTA.       GEORGIA      30333. 


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